Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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White Eagle Dialysis Center

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1649623620

White Eagle Dialysis Center is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ponca City, Oklahoma. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

200 White Eagle Dr
Ponca City, OK 74601-8315
Phone: (580) 765-2501
Fax: (580) 765-6348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1649623620
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPonca Tribe of Oklahoma
Authorized official Joseph Blan — Dialysis Director · (580) 765-2501
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016
Mailing address200 White Eagle Dr, Ponca City, OK 74601-8315

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